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FIELD ACTION REPORT
Open Access

An NGO-Implemented Community–Clinic Health Worker Approach to Providing Long-Term Care for Hypertension in a Remote Region of Southern India

Sujatha Sankaran, Prema S Ravi, Yichen Ethel Wu, Sharan Shanabogue, Sangeetha Ashok, Kaylan Agnew, Margaret C Fang, Raman A Khanna, Madhavi Dandu and James D Harrison
Global Health: Science and Practice December 2017, 5(4):668-677; https://doi.org/10.9745/GHSP-D-17-00192
Sujatha Sankaran
aUniversity of California at San Francisco, San Francisco, CA, USA.
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  • For correspondence: sujatha.sankaran{at}ucsf.edu
Prema S Ravi
bTribal Health Initiative, Sittilingi, Tamil Nadu, India.
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Yichen Ethel Wu
aUniversity of California at San Francisco, San Francisco, CA, USA.
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Sharan Shanabogue
cSt. John's National Academy of Health Sciences, Bangalore, Karnataka, India.
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Sangeetha Ashok
bTribal Health Initiative, Sittilingi, Tamil Nadu, India.
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Kaylan Agnew
aUniversity of California at San Francisco, San Francisco, CA, USA.
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Margaret C Fang
aUniversity of California at San Francisco, San Francisco, CA, USA.
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Raman A Khanna
aUniversity of California at San Francisco, San Francisco, CA, USA.
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Madhavi Dandu
aUniversity of California at San Francisco, San Francisco, CA, USA.
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James D Harrison
aUniversity of California at San Francisco, San Francisco, CA, USA.
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  • FIGURE 1.
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    FIGURE 1.

    Stepwise Implementation of Community Health Worker Hypertension Program, Sittilingi Valley, Tamil Nadu, India

    Abbreviations: BP, blood pressure; CHW, community health worker; DBP, diastolic blood pressure; SBP, systolic blood pressure.

  • FIGURE 2.
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    FIGURE 2.

    Community Health Worker Hypertension Program Screening Algorithm, Sittilingi Valley, Tamil Nadu, India

    Abbreviations: CHW, community health worker; LDL, low-density lipoprotein cholesterol.

  • FIGURE 3.
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    FIGURE 3.

    Community Health Worker Hypertension Program Clinical Decision Tree Algorithm, Sittilingi Valley, Tamil Nadu, India

    Abbreviations: CHW, community health worker; DBP, diastolic blood pressure; HTN, hypertension; SBP, systolic blood pressure.

  • Figure4
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    Clinic staff members see patients enrolled in the hypertension program. © 2017 Tribal Health Initiative.

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    FIGURE 4.

    Screenshot of the Front-End Interface Used by Clinic Personnel to Enter Patient Demographic and Clinical Data for the Hypertension Program

Tables

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    TABLE.

    Hypertension Rates in Patients Over Age 18 Screened by Community Health Workers, Sittilingi Valley, Tamil Nadu, India, 2014–2016

    Age Group (in Years)Total
    18–3940–59≥60
    Hypertensivea314 (8.0)424 (20.0)446 (40.0)1184 (16.5)
    Normotensiveb3622 (92.0)1700 (80.0)670 (60.0)5992 (83.5)
    Total3936 (100.0)2124 (100.0)1116 (100.0)7176 (100.0)
    • All data are shown as No. (%).

    • ↵a Systolic blood pressure >140 or diastolic blood pressure >90 on 2 checks.

    • ↵b Systolic blood pressure <140 and diastolic blood pressure <90

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Global Health: Science and Practice: 5 (4)
Global Health: Science and Practice
Vol. 5, No. 4
December 28, 2017
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An NGO-Implemented Community–Clinic Health Worker Approach to Providing Long-Term Care for Hypertension in a Remote Region of Southern India
Sujatha Sankaran, Prema S Ravi, Yichen Ethel Wu, Sharan Shanabogue, Sangeetha Ashok, Kaylan Agnew, Margaret C Fang, Raman A Khanna, Madhavi Dandu, James D Harrison
Global Health: Science and Practice Dec 2017, 5 (4) 668-677; DOI: 10.9745/GHSP-D-17-00192

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An NGO-Implemented Community–Clinic Health Worker Approach to Providing Long-Term Care for Hypertension in a Remote Region of Southern India
Sujatha Sankaran, Prema S Ravi, Yichen Ethel Wu, Sharan Shanabogue, Sangeetha Ashok, Kaylan Agnew, Margaret C Fang, Raman A Khanna, Madhavi Dandu, James D Harrison
Global Health: Science and Practice Dec 2017, 5 (4) 668-677; DOI: 10.9745/GHSP-D-17-00192
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